Use of electronic cigarettes and alternative tobacco products among Romanian adolescents

Valentin Nădăşan, Kristie L. Foley, Melinda Pénzes, Edit Paulik, Ştefan Mihăicuţă, Zoltán Ábrám, Jozsef Bálint, Robert Urbán

Research output: Contribution to journalArticle

17 Citations (Scopus)


Objectives: To assess socio-demographic and smoking-related correlates of e-cigarette and alternative tobacco products (ATPs) use in a multi-ethnic group of adolescents in Tîrgu Mures, Romania. Methods: The cross-sectional study included 1835 high school students from Tirgu Mures, Romania. Socio-demographic variables and data about smoking and e-cigarettes and ATP use were collected using an online questionnaire. Chi-square tests or one-way ANOVA were applied to compare never smokers, non-current smokers, and current smokers. Multiple logistic regression was conducted to determine the correlates of e-cigarettes and ATP use. Results: The most frequently tried non-cigarette nicotine and tobacco products were e-cigarette (38.5 %), cigar (31.4 %) and waterpipe (21.1 %). Ever trying and current use of cigarettes were the most important correlates of e-cigarette and ATPs use. Sex, ethnicity, sensation seeking and perceived peer smoking were correlates of several ATPs use. Conclusions: The results of this study may inform the development of tailored tobacco control programs.

Original languageEnglish
Pages (from-to)199-207
Number of pages9
JournalInternational journal of public health
Issue number2
Publication statusPublished - Mar 1 2016



  • Adolescents
  • Alternative tobacco products
  • Correlates
  • Electronic cigarette
  • Romania

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Nădăşan, V., Foley, K. L., Pénzes, M., Paulik, E., Mihăicuţă, Ş., Ábrám, Z., Bálint, J., & Urbán, R. (2016). Use of electronic cigarettes and alternative tobacco products among Romanian adolescents. International journal of public health, 61(2), 199-207.